Part D patients often denied drugs for "off-label" uses
Case Management Weekly, August 8, 2007
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Part D beneficiaries often cannot obtain drugs prescribed for "off-label" uses such as the treatment of pain, rare diseases and other conditions, according to a new report by the
Under rules issued last year by CMS, prescription drug plans can deny coverage for medications prescribed for "off-label" users. "Off-label" means a drug is used to treat a condition for which it is not specifically approved by the Food and Drug Administration.
More than 20% of prescriptions written for the 500 most commonly prescribed drugs in the
- Painkillers such as Actiq and Fentora
- Anti-nausea drugs such as Zofran
- Irritable bowel syndrome medications such as Lotronex
Source:
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